SPENCER HAYES
NPI 1952836728
Ophthalmology in Dallas, TX
About Spencer Hayes NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SPENCER HAYES (NPI 1952836728) is an individual ophthalmology provider in Dallas, Texas, licensed in Texas (T0228) and active in the NPI registry since April 2017. He is enrolled in Medicare PECOS and is a graduate of University Of Texas Medical School At Houston (2017).
NPPES Registry Identity
Specialties & Licenses 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Spencer Hayes is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
2Medicare enrollment records show Spencer Hayes reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Dallas, TX 75390
- Reassigned Medicare billing, Texas enrollment
- 5,299 clinicians in this Medicare group
San Antonio, TX 78215
- Reassigned Medicare billing, Texas enrollment
- Also billed through NPI 1407808173 (Texas)
- 19 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 10
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 75390 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
DALLAS, TX 75390
DALLAS, TX 75390
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Spencer Hayes's NPI number?
The NPI number for Spencer Hayes is 1952836728. It was assigned to this individual provider in the NPPES registry on April 28, 2017.
Where is Spencer Hayes located?
Spencer Hayes practices at 5323 Harry Hines Blvd, Dallas, TX 75390. The listed phone number is (214) 648-3848.
What is Spencer Hayes's specialty?
The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.
Is Spencer Hayes enrolled in Medicare?
Yes. Spencer Hayes is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Spencer Hayes's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Spencer Hayes reassigns Medicare benefits to 2 organizations: University Of Texas Southwestern Medical Center At Dallas (Dallas, TX) and San Antonio Eye Center, PA (San Antonio, TX). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Spencer Hayes's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Spencer Hayes accept?
Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and Ambetter from Superior HealthPlan and 20 other insurers list Spencer Hayes as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Spencer Hayes was last updated on May 11, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Spencer Hayes · NPI 1952836728
Ophthalmology physician in Dallas, Texas. Individual provider, active in the CMS NPPES registry since April 28, 2017.
## Identity
- **NPI:** 1952836728 (Entity type: Individual)
- **Enumerated:** April 28, 2017
- **Primary specialty:** Ophthalmology · taxonomy 207W00000X
- **State license:** T0228 (Texas)
- **Sole proprietor:** No
## Practice location
- **Address:** 5323 HARRY HINES BLVD, Dallas, TX 75390-7201
- **Phone:** (214) 648-3848
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): University Of Texas Southwestern Medical Center At Dallas (NPI 1083669766, Dallas, TX); San Antonio Eye Center, PA (NPI 1629038989, San Antonio, TX) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of Texas Medical School At Houston, class of 2017
## Record status
- **NPPES last updated:** May 11, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1952836728) · Data from the CMS NPPES public registry.